Question: An Eight Year Old FS Miniature Poodle Is Presented For Lethargy And Coughing. The Cough Began About 6 Weeks Ago And Has Been Gradually Getting Worse. Today, She Will Not Eat. On Physical Examination, She Is Tachypneic And Has Mild Inspiratory, And Expiratory Dyspnea. Her CRT Is 2 Seconds, Mucous Membranes Are Pink, HR Is 190, Respirations 60, Temperature …

An eight year old FS miniature poodle is presented for lethargy and coughing. The cough began about 6 weeks ago and has been gradually getting worse. Today, she will not eat. On physical examination, she is tachypneic and has mild inspiratory, and expiratory dyspnea. Her CRT is 2 seconds, mucous membranes are pink, HR is 190, respirations 60, temperature 102.2 degrees. She has pulmonary crackles and a left side heart murmur on auscultation. Her femoral pulses are synchronous but thready. 1a. Based on the patient’s signalment, physical examination and history only, what is the most probable diagnosis? b. The relief veterinarian who sees the dog asks you what positive inodilator. diuretic and ACE inhibitor the hospital has on the shelf he could dispense for the dog to go home. Select the three drugs that would MOST likely be used. Inodilator – Diuretic- ACE inhibitor – C. Calculate the dose for each drug based on a patient weight of 22lbs. Drug Dosage Concentration +inodilator 0.5 mg/kg dd BID 1.25 mg/tab, 2.5 mg/tab, (I hr before meals) 5 mg/tab diuretic 1-2 mg/kg PO BID 12.5 mg/tab, 50 mg/tab ACE inhibitor 0.5 mg PO SID 1 mg/tab, 2.5 mg/tab 5 mg/tab, 10 mg/tab d . The relief veterinarian asks you to dispense a 14 day supply of each of these drugs. Indicate for each of the three drugs, the number you will place in the bottle and label directions you will type. Inodilator Diuretic ACE inhibitor e. Based on the drugs prescribed for this patient, what specific blood values will need to be monitored in this patient?